ArticleClinical orthopaedics and related research2013
Critical roles of orthopaedic surgeon leadership in healthcare systems to improve orthopaedic surgical patient safety.
Article in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 26 citations in OpenAlex.
- Medical errors, affected sites, and adverse consequences among patients in the orthopaedic department: Does age matter?Frontiers in public health · 2024Article
- Article
- Leadership development for orthopaedic trauma surgeons in Latin America: opportunities for and barriers to skill acquisition.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Challenging the knowledge base and skillset for providing surgical consent by orthopedic and plastic surgeons in the Netherlands: an identified area of improvement in patient safety.Patient safety in surgery · 2016Article
- Adverse events in orthopedic care identified via the Global Trigger Tool in Sweden - implications on preventable prolonged hospitalizations.Patient safety in surgery · 2016Article
- Editor's Spotlight/Take 5: Most American Academy of Orthopaedic Surgeons' online patient education material exceeds average patient reading level.Clinical orthopaedics and related research · 2015Article
- Assessment of Three "WHO" Patient Safety Solutions: Where Do We Stand and What Can We Do?International journal of preventive medicine · 2015Article
- The Impact of Formal Leadership Training Programs Offered by the American Orthopaedic Association.JB & JS open accessReview
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevention of medical and surgical harm remains an important public health problem despite increased awareness and implementation of safety programs. Successful introduction and maintenance of surgical safety programs require both surgeon leadership and collaborative surgeon-hospital alignment. Documentation of success of such surgical safety programs in orthopaedic practice is limited. QUESTIONS/PURPOSES: We describe the scope of orthopaedic surgical patient safety issues, define critical elements of orthopaedic surgical safety, and outline leadership roles for orthopaedic surgeons needed to establish and sustain a culture of safety in contemporary healthcare systems.
methodsWe identified the most common causes of preventable surgical harm based on adverse and sentinel surgical events reported to The Joint Commission. A comprehensive literature review through a MEDLINE(®) database search (January 1982 through April 2012) to identify pertinent orthopaedic surgical safety articles found 14 articles. Where gaps in orthopaedic literature were identified, the review was supplemented by 22 nonorthopaedic surgical references. Our final review included 36 articles.
resultsSix important surgical safety program elements needed to eliminate preventable surgical harm were identified: (1) effective surgical team communication, (2) proper informed consent, (3) implementation and regular use of surgical checklists, (4) proper surgical site/procedure identification, (5) reduction of surgical team distractions, and (6) routine surgical data collection and analysis to improve the safety and quality of surgical patient care.
conclusionsSuccessful surgical safety programs require a culture of safety supported by all six key surgical safety program elements, active surgeon champions, and collaborative hospital and/or administrative support designed to enhance surgical safety and improve surgical patient outcomes. Further research measuring improvements from such surgical safety systems in orthopaedic care is needed.
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